Healthcare Provider Details

I. General information

NPI: 1447154661
Provider Name (Legal Business Name): NALIE XAVIER LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 SYLVESTER ST
WESTBURY NY
11590-3908
US

IV. Provider business mailing address

152 SYLVESTER ST
WESTBURY NY
11590-3908
US

V. Phone/Fax

Practice location:
  • Phone: 631-220-4602
  • Fax:
Mailing address:
  • Phone: 631-220-4602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number35121201
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: